文章基本信息

标题：Comparison of Thiopental Sodium and Ketamine Induction on Emergence Agitation after Desflurane Anesthesia in Children undergoing a Tonsillectomy
本地全文：下载
作者：Kim, Han Seok ; Lee, Soo Kyung ; Kang, Hyo Seok 等
期刊名称：Korean Journal of Anesthesiology
印刷版ISSN：2005-6419
出版年度：2007
卷号：53
期号：3
页码：356-360
DOI：10.4097/kjae.2007.53.3.356
语种：Korean
出版社：The Korean Society of Anesthesiologists,
摘要：Background
It is widely known that desflurane provides fast emergence but with a high incidence of emergence agitation. This study was designed to investigate the emergence agitation resulting from thiopental or ketamine induction with desflurane anesthesia for pediatric patients.
Methods
Forty patients, aged 3-8 years, scheduled for a tonsillectomy or a tonsillectomy and adenoidectomy were randomly allocated into two groups. Anesthesia was induced using 5 mg/kg thiopental sodium (Group T patients) or 2 mg/kg ketamine (Group K patients), and was maintained using O₂-N₂O-desflurane. The recovery time and incidence of emergence agitation were assessed.
Results
The incidence of emergence agitation was less in patients in the ketamine induction group. There were no differences in the recovery time and reported side effects.
Conclusions
We conclude that ketamine induction provides less emergence agitation when compared to thiopental induction for desflurane anesthesia for a pediatric tonsillectomy or a tonsillectomy and adenoidectomy without delayed recovery.
关键词：desflurane; emergence agitation; ketamine; thiopental